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NPI Code Detail

MEDICARE: KERRY HUMES

MEDICARE: KERRY HUMES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD-41653IA

General Provider Information

NPI Number : 1548749674
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY HUMES
Provider Business Mailing Address
First Line : 1320 W LOMBARD ST
Second Line :
City : DAVENPORT
State : IA
Zip : 52804-2029
Country : US
Telephone Number : 563-333-5735
Fax Number :
Provider Business Practice Location Address
First Line : 1320 W LOMBARD ST
Second Line :
City : DAVENPORT
State : IA
Zip : 52804-2029
Country : US
Telephone Number : 563-333-5735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2018
Last Update Date : 08/09/2018

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Directions to “ KERRY HUMES ” Practice Location

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